Keil, Mitchell S
Keil, Mitchell S is an sole proprietor health care provider with primary practice located at 3300 Irvine Ave Ste 111 , Newport Beach CA 92660-3115. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Keil, Mitchell S can be contacted via phone (714) 334-5497.Contact Information
Primary practice address
3300 Irvine Ave Ste 111
Newport Beach CA 92660-3115
Phone: (714) 334-5497
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY29644 | California |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | ||
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | ||
Behavioral Health & Social Service Providers / Family | 103TF0000X | ||
Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X |
Profile Details
NPI number | 1235647280 |
---|---|
LBN Legal business name | Keil, Mitchell S |
Credentials | PSYD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 11th, 2018 |
Last updated | Feb 20th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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